Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV
Hospital

Novant Health Charlotte Orthopedic Hospital

Charlotte, NC · CCN 340153 · Rates published

20,205 distinct procedures filed
22 distinct payers
1,049,161 rate rows
2026-03-30 last MRF observed
Data quality

700,449 of 1,049,161 rate rows are consumer-grade (66.8%)

348,712 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 348,529
per-diem day rate — not a per-procedure price 144
placeholder amount (≤ $0.02) — excluded from medians 39
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/560554230_the-presbyterian-hospital-dba-novant-health-charlotte-orthopedic-hospital_standardcharges.json
Found on page https://www.novanthealth.org/for-patients/billing--insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 29b7ba055c82276c… · 283,933,642 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 $4,526,200.00 $4,526,200.00 $4,526,200.00 nat. median
$3,710,000
1.2× median
J3391
HCPCS 		Injection, Atidarsagene Autotemcel, Per Treatment 7 $4,284,975.80 $4,499,224.59 $4,284,975.80 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,505,278.25 $4,496,025.34 $3,549,094.23 nat. median
$3,710,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 22 $2,335,203.01 $4,670,406.02 $3,502,804.52 nat. median
$2,468,984
1.4× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 22 $2,218,105.12 $4,436,210.24 $3,327,157.68 nat. median
$2,448,600
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,154,486.56 $4,055,977.72 $3,193,917.64 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 7 $3,089,791.63 $3,978,853.10 $3,128,414.02 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 7 $2,801,870.06 $3,599,837.74 $2,836,893.44 nat. median
$3,004,655
0.9× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 22 $732,982.92 $1,465,965.84 $1,099,474.38 nat. median
$824,563
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 22 $562,826.29 $1,127,511.66 $845,168.97 nat. median
$753,246
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 22 $538,231.91 $1,077,636.42 $807,934.17 nat. median
$674,867
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 22 $535,063.82 $1,070,127.64 $802,595.73 nat. median
$673,137
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 22 $530,098.52 $1,060,197.04 $795,147.78 nat. median
$625,184
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 22 $507,187.21 $1,014,374.42 $760,780.81 nat. median
$634,303
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 22 $465,406.97 $953,404.97 $709,405.97 nat. median
$619,808
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $413,334.10 $872,335.74 $642,834.92 nat. median
$370,174
1.7× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 22 $264,660.27 $992,250.00 $628,455.14 nat. median
$324,450
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $268,237.20 $595,872.19 $432,054.70 nat. median
$265,286
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $202,425.43 $453,975.68 $328,200.55 nat. median
$206,474
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $203,161.88 $451,311.43 $327,236.66 nat. median
$202,976
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $132,581.86 $294,522.32 $213,552.09 nat. median
$133,161
1.6× median
7
MS_DRG 		Lung Transplant 22 $123,955.82 $275,360.10 $199,657.96 nat. median
$122,708
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $108,464.93 $266,526.40 $187,495.67 nat. median
$108,660
1.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $115,032.09 $253,049.55 $184,040.82 nat. median
$117,357
1.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $103,359.93 $234,343.78 $168,851.86 nat. median
$98,894
1.7× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $104,083.95 $231,215.99 $167,649.97 nat. median
$102,358
1.6× median
Q0480
HCPCS 		Dme Pos 22 $111,502.61 $223,005.22 $167,253.92 nat. median
$111,989
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 22 $98,689.32 $219,232.16 $158,960.74 nat. median
$100,136
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $93,638.32 $208,011.68 $150,825.00 nat. median
$93,672
1.6× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $80,435.08 $218,515.00 $149,475.04 nat. median
$81,118
1.8× median
215
MS_DRG 		Other Heart Assist System Implant 22 $83,458.94 $211,715.69 $147,587.32 nat. median
$99,019
1.5× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 22 $95,081.03 $190,162.06 $142,621.55 nat. median
$96,983
1.5× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 $86,237.46 $191,571.12 $138,904.29 nat. median
$82,711
1.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 22 $80,688.73 $179,244.96 $129,966.85 nat. median
$79,312
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 22 $68,452.91 $184,126.95 $126,289.93 nat. median
$83,470
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 $75,318.03 $167,314.29 $121,316.16 nat. median
$77,570
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $73,494.61 $163,263.69 $118,379.15 nat. median
$74,915
1.6× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 $70,126.02 $162,559.89 $116,342.96 nat. median
$73,807
1.6× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 $68,946.38 $162,021.93 $115,484.15 nat. median
$72,135
1.6× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 $51,510.72 $176,531.00 $114,020.86 nat. median
$58,020
2.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 20 $96,363.41 $125,750.30 $111,056.85 nat. median
$76,329
1.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $68,118.49 $153,489.09 $110,803.79 nat. median
$68,090
1.6× median
10
MS_DRG 		Pancreas Transplant 22 $68,683.86 $152,576.91 $110,630.38 nat. median
$68,884
1.6× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 $68,290.46 $151,703.00 $109,996.73 nat. median
$71,271
1.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 $68,250.26 $151,613.70 $109,931.98 nat. median
$68,886
1.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 $65,833.40 $146,244.79 $106,039.10 nat. median
$65,950
1.6× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 22 $64,428.27 $143,123.38 $103,775.82 nat. median
$64,732
1.6× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 22 $68,801.71 $137,603.42 $103,202.57 nat. median
$70,825
1.5× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 $64,001.37 $142,175.05 $103,088.21 nat. median
$60,691
1.7× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 $63,954.47 $142,070.86 $103,012.66 nat. median
$63,724
1.6× median

Other procedures at this hospital

Browse this hospital's 20,205 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 1 — — $4,526,200.00 $4,526,200.00 $4,526,200.00 2026-03-30
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 7 7 — — $4,284,975.80 $4,499,224.59 $4,284,975.80 2026-03-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 7 — — $3,505,278.25 $4,496,025.34 $3,549,094.23 2026-03-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 53 22 — — $2,335,203.01 $4,670,406.02 $3,502,804.52 2026-03-30
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 54 22 — — $2,218,105.12 $4,436,210.24 $3,327,157.68 2026-03-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — — $3,154,486.56 $4,055,977.72 $3,193,917.64 2026-03-30
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 8 7 — — $3,089,791.63 $3,978,853.10 $3,128,414.02 2026-03-30
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 8 7 — — $2,801,870.06 $3,599,837.74 $2,836,893.44 2026-03-30
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 54 22 — — $732,982.92 $1,465,965.84 $1,099,474.38 2026-03-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 54 22 — — $562,826.29 $1,127,511.66 $845,168.97 2026-03-30
Q2056 HCPCS Ciltacabtagene Car-pos T 54 22 — — $538,231.91 $1,077,636.42 $807,934.17 2026-03-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 54 22 — — $535,063.82 $1,070,127.64 $802,595.73 2026-03-30
Q2055 HCPCS Idecabtagene Vicleucel Car 54 22 — — $530,098.52 $1,060,197.04 $795,147.78 2026-03-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 54 22 — — $507,187.21 $1,014,374.42 $760,780.81 2026-03-30
Q2053 HCPCS Brexucabtagene Car Pos T 54 22 — — $465,406.97 $953,404.97 $709,405.97 2026-03-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 54 22 — — $413,334.10 $872,335.74 $642,834.92 2026-03-30
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 54 22 — — $264,660.27 $992,250.00 $628,455.14 2026-03-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 54 22 — — $268,237.20 $595,872.19 $432,054.70 2026-03-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 54 22 — — $202,425.43 $453,975.68 $328,200.55 2026-03-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 54 22 — — $203,161.88 $451,311.43 $327,236.66 2026-03-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 54 22 — — $132,581.86 $294,522.32 $213,552.09 2026-03-30
7 MS_DRG Lung Transplant 54 22 — — $123,955.82 $275,360.10 $199,657.96 2026-03-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 22 — — $108,464.93 $266,526.40 $187,495.67 2026-03-30
14 MS_DRG Allogeneic Bone Marrow Transplant 54 22 — — $115,032.09 $253,049.55 $184,040.82 2026-03-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 22 — — $103,359.93 $234,343.78 $168,851.86 2026-03-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 54 22 — — $104,083.95 $231,215.99 $167,649.97 2026-03-30
Q0480 HCPCS Dme Pos 54 22 — — $111,502.61 $223,005.22 $167,253.92 2026-03-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 54 22 — — $98,689.32 $219,232.16 $158,960.74 2026-03-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 22 — — $93,638.32 $208,011.68 $150,825.00 2026-03-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 22 — — $80,435.08 $218,515.00 $149,475.04 2026-03-30
215 MS_DRG Other Heart Assist System Implant 54 22 — — $83,458.94 $211,715.69 $147,587.32 2026-03-30
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 54 22 — — $95,081.03 $190,162.06 $142,621.55 2026-03-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 54 22 — — $86,237.46 $191,571.12 $138,904.29 2026-03-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 22 — — $80,688.73 $179,244.96 $129,966.85 2026-03-30
850 MS_DRG Acute Leukemia With Other Procedures 54 22 — — $68,452.91 $184,126.95 $126,289.93 2026-03-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 54 22 — — $75,318.03 $167,314.29 $121,316.16 2026-03-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 22 — — $73,494.61 $163,263.69 $118,379.15 2026-03-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 54 22 — — $70,126.02 $162,559.89 $116,342.96 2026-03-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 54 22 — — $68,946.38 $162,021.93 $115,484.15 2026-03-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 22 — — $51,510.72 $176,531.00 $114,020.86 2026-03-30
J7330 HCPCS Cultured Chondrocytes Implnt 47 20 — — $96,363.41 $125,750.30 $111,056.85 2026-03-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 22 — — $68,118.49 $153,489.09 $110,803.79 2026-03-30
10 MS_DRG Pancreas Transplant 54 22 — — $68,683.86 $152,576.91 $110,630.38 2026-03-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 54 22 — — $68,290.46 $151,703.00 $109,996.73 2026-03-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 54 22 — — $68,250.26 $151,613.70 $109,931.98 2026-03-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 54 22 — — $65,833.40 $146,244.79 $106,039.10 2026-03-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 54 22 — — $64,428.27 $143,123.38 $103,775.82 2026-03-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 54 22 — — $68,801.71 $137,603.42 $103,202.57 2026-03-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 54 22 — — $64,001.37 $142,175.05 $103,088.21 2026-03-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 54 22 — — $63,954.47 $142,070.86 $103,012.66 2026-03-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 54 22 — — $66,157.88 $139,625.27 $102,891.57 2026-03-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 22 — — $62,937.00 $139,810.60 $101,373.80 2026-03-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 22 — — $62,937.00 $139,810.60 $101,373.80 2026-03-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 54 22 — — $62,708.23 $139,302.42 $101,005.32 2026-03-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 54 22 — — $44,309.49 $152,513.12 $98,411.30 2026-03-30
6 MS_DRG Liver Transplant Without Mcc 54 22 — — $44,384.11 $148,644.75 $96,514.43 2026-03-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 22 — — $61,591.21 $129,987.37 $95,789.29 2026-03-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 54 22 — — $58,659.39 $130,308.17 $94,483.78 2026-03-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 54 22 — — $58,591.43 $130,157.20 $94,374.32 2026-03-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 54 22 — — $58,029.57 $128,909.06 $93,469.32 2026-03-30
28 MS_DRG Spinal Procedures With Mcc 54 22 — — $57,509.83 $127,754.48 $92,632.15 2026-03-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 54 22 — — $60,248.64 $123,190.11 $91,719.38 2026-03-30
38240 CPT Transplt Allo Hct/donor 53 22 — — $61,124.89 $122,249.78 $91,687.34 2026-03-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 54 22 — — $45,000.53 $138,058.98 $91,529.76 2026-03-30
90288 CPT Botulism Ig IV 46 20 — — $91,224.47 $91,224.47 $91,224.47 2026-03-30
A9543 HCPCS Y90 Ibritumomab, Rx 54 22 — — $54,049.24 $127,627.61 $90,838.43 2026-03-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 54 22 — — $53,385.70 $127,718.34 $90,552.02 2026-03-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 54 22 — — $56,172.65 $124,784.04 $90,478.35 2026-03-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 54 22 — — $56,136.28 $124,703.24 $90,419.76 2026-03-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 54 22 — — $39,939.00 $140,543.00 $90,241.00 2026-03-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 54 22 — — $54,222.77 $122,625.85 $88,424.31 2026-03-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 22 — — $54,848.88 $121,843.37 $88,346.12 2026-03-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 54 22 — — $56,757.49 $119,785.87 $88,271.68 2026-03-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 54 22 — — $52,864.66 $121,721.00 $87,292.83 2026-03-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 22 — — $53,812.27 $119,540.59 $86,676.43 2026-03-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 54 22 — — $53,645.72 $119,170.61 $86,408.16 2026-03-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 22 — — $50,897.95 $121,188.47 $86,043.21 2026-03-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 22 — — $53,278.16 $118,354.11 $85,816.13 2026-03-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 54 22 — — $49,824.68 $121,125.00 $85,474.84 2026-03-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 54 22 — — $52,362.15 $116,319.24 $84,340.70 2026-03-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 54 22 — — $52,287.49 $116,153.39 $84,220.44 2026-03-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 54 22 — — $51,164.06 $115,970.53 $83,567.29 2026-03-30
834 MS_DRG Acute Leukemia With Mcc 54 22 — — $52,547.84 $112,434.34 $82,491.09 2026-03-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 54 22 — — $51,013.49 $113,323.28 $82,168.38 2026-03-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 22 — — $50,930.58 $113,391.33 $82,160.96 2026-03-30
471 MS_DRG Cervical Spinal Fusion With Mcc 54 22 — — $46,219.01 $118,033.00 $82,126.01 2026-03-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 54 22 — — $52,572.82 $111,075.77 $81,824.29 2026-03-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 54 22 — — $50,670.82 $112,562.07 $81,616.45 2026-03-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 54 22 — — $50,503.32 $112,189.97 $81,346.65 2026-03-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 54 22 — — $51,996.51 $109,737.89 $80,867.20 2026-03-30
652 MS_DRG Kidney Transplant 54 22 — — $30,911.90 $129,687.30 $80,299.60 2026-03-30
653 MS_DRG Major Bladder Procedures With Mcc 54 22 — — $49,738.54 $110,491.05 $80,114.79 2026-03-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 22 — — $47,355.18 $105,196.57 $76,275.88 2026-03-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 54 22 — — $47,270.95 $105,009.45 $76,140.20 2026-03-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 54 22 — — $47,109.18 $104,650.11 $75,879.65 2026-03-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 54 22 — — $46,912.96 $104,214.22 $75,563.59 2026-03-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 54 22 — — $43,800.73 $106,047.09 $74,923.91 2026-03-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 54 22 — — $41,796.25 $107,169.77 $74,483.01 2026-03-30
L7181 HCPCS Dme Pos 54 22 — — $49,605.45 $99,210.90 $74,408.18 2026-03-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 54 22 — — $43,942.45 $101,228.89 $72,585.67 2026-03-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 22 — — $44,908.64 $99,761.74 $72,335.19 2026-03-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 54 22 — — $44,774.64 $99,464.06 $72,119.35 2026-03-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 54 22 — — $43,842.53 $98,203.17 $71,022.85 2026-03-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 54 22 — — $43,996.46 $97,735.38 $70,865.92 2026-03-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 54 22 — — $43,884.47 $97,486.60 $70,685.54 2026-03-30
245 MS_DRG Aicd Generator Procedures 54 22 — — $43,670.06 $97,010.31 $70,340.18 2026-03-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 54 22 — — $43,519.78 $96,676.48 $70,098.13 2026-03-30
799 MS_DRG Splenic Procedures With Mcc 54 22 — — $43,349.41 $96,298.00 $69,823.71 2026-03-30
163 MS_DRG Major Chest Procedures With Mcc 54 22 — — $42,898.58 $95,296.51 $69,097.54 2026-03-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 54 22 — — $42,886.14 $95,268.87 $69,077.51 2026-03-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 54 22 — — $42,717.67 $94,894.64 $68,806.15 2026-03-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 54 22 — — $39,502.22 $97,051.66 $68,276.94 2026-03-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 54 22 — — $38,819.11 $96,719.01 $67,769.06 2026-03-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 54 22 — — $42,046.70 $93,404.11 $67,725.40 2026-03-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 54 22 — — $41,420.70 $92,013.51 $66,717.10 2026-03-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 54 22 — — $41,090.48 $91,279.93 $66,185.21 2026-03-30
140 MS_DRG Major Head And Neck Procedures With Mcc 54 22 — — $40,826.30 $90,693.07 $65,759.68 2026-03-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 54 22 — — $40,591.79 $90,172.13 $65,381.96 2026-03-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 12 — — $56,889.58 $113,779.16 $65,378.50 2026-03-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 54 22 — — $40,354.41 $89,644.81 $64,999.61 2026-03-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 54 22 — — $40,334.31 $89,600.16 $64,967.24 2026-03-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 54 22 — — $40,216.58 $89,338.62 $64,777.60 2026-03-30
901 MS_DRG Wound Debridements For Injuries With Mcc 54 22 — — $40,168.72 $89,232.31 $64,700.51 2026-03-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 54 22 — — $40,094.06 $89,066.45 $64,580.25 2026-03-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 54 22 — — $39,011.81 $89,797.90 $64,404.86 2026-03-30
620T CPT Evasc Ven Artlz Tibl/prnl Vn 54 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 53 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-30
33276 CPT Insj Phrnc Nrv Stim Sys 53 22 — — $42,802.68 $85,605.36 $64,204.02 2026-03-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 54 22 — — $39,751.39 $88,305.24 $64,028.32 2026-03-30
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 54 22 — — $35,470.92 $92,566.93 $64,018.93 2026-03-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 54 22 — — $39,488.17 $87,720.51 $63,604.34 2026-03-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 54 22 — — $38,076.86 $85,487.89 $61,782.38 2026-03-30
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 54 22 — — $33,755.66 $89,353.00 $61,554.33 2026-03-30
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 54 22 — — $25,460.80 $96,790.00 $61,125.40 2026-03-30
J9226 HCPCS Supprelin La Implant 54 22 — — $35,473.35 $85,643.68 $60,558.51 2026-03-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 54 22 — — $37,443.65 $83,178.73 $60,311.19 2026-03-30
L7180 HCPCS Dme Pos 54 22 — — $39,992.59 $79,985.18 $59,988.89 2026-03-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 54 22 — — $37,049.30 $82,302.69 $59,676.00 2026-03-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 54 22 — — $36,993.78 $82,179.37 $59,586.57 2026-03-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 54 22 — — $36,958.36 $82,100.70 $59,529.53 2026-03-30
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 54 22 — — $36,748.74 $81,635.04 $59,191.89 2026-03-30
L2006 HCPCS Dme Pos 54 22 — — $39,378.44 $78,756.88 $59,067.66 2026-03-30
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 54 22 — — $36,018.42 $80,012.67 $58,015.54 2026-03-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 54 22 — — $37,274.23 $78,666.73 $57,970.48 2026-03-30
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 22 — — $35,776.26 $79,474.72 $57,625.49 2026-03-30
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 54 22 — — $33,794.67 $79,663.96 $56,729.32 2026-03-30
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 54 22 — — $35,157.92 $78,101.13 $56,629.53 2026-03-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 54 22 — — $27,557.96 $84,713.92 $56,135.94 2026-03-30
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 54 22 — — $34,731.02 $77,152.80 $55,941.91 2026-03-30
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 54 22 — — $34,704.22 $77,093.26 $55,898.74 2026-03-30
332 MS_DRG Rectal Resection With Mcc 54 22 — — $34,656.36 $76,986.94 $55,821.65 2026-03-30
265 MS_DRG Aicd Lead Procedures 54 22 — — $34,632.43 $76,933.79 $55,783.11 2026-03-30
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 54 22 — — $34,519.49 $76,682.88 $55,601.18 2026-03-30
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 54 22 — — $35,143.56 $75,590.00 $55,366.78 2026-03-30
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 54 22 — — $29,032.97 $81,666.00 $55,349.49 2026-03-30
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 54 22 — — $34,293.59 $76,181.08 $55,237.33 2026-03-30
A9699 HCPCS Radiopharm Rx Agent Noc 47 20 — — $55,169.68 $55,169.68 $55,169.68 2026-03-30
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 54 22 — — $34,214.15 $76,004.59 $55,109.37 2026-03-30
335 MS_DRG Peritoneal Adhesiolysis With Mcc 54 22 — — $34,179.69 $75,928.05 $55,053.87 2026-03-30
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 54 22 — — $34,128.96 $75,815.35 $54,972.15 2026-03-30
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 54 22 — — $34,100.25 $75,751.56 $54,925.90 2026-03-30
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 54 22 — — $34,067.70 $75,679.27 $54,873.49 2026-03-30
271 MS_DRG Other Major Cardiovascular Procedures With Cc 54 22 — — $34,039.94 $75,617.61 $54,828.78 2026-03-30
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 54 22 — — $30,102.80 $79,242.95 $54,672.88 2026-03-30
252 MS_DRG Other Vascular Procedures With Mcc 54 22 — — $33,389.07 $74,171.72 $53,780.39 2026-03-30
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 54 22 — — $34,571.17 $72,961.97 $53,766.57 2026-03-30
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 54 22 — — $33,380.45 $74,152.59 $53,766.52 2026-03-30
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 54 22 — — $33,227.30 $73,812.38 $53,519.84 2026-03-30
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 54 22 — — $33,066.50 $73,455.16 $53,260.83 2026-03-30
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 54 22 — — $32,815.72 $72,898.07 $52,856.89 2026-03-30
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 54 22 — — $32,611.84 $72,445.17 $52,528.50 2026-03-30
L8701 HCPCS Ewh S/d Uprt Micro Sensor 54 22 — — $34,970.13 $69,940.26 $52,455.19 2026-03-30
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 54 22 — — $33,686.75 $71,095.40 $52,391.07 2026-03-30
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 54 22 — — $31,249.82 $72,540.85 $51,895.33 2026-03-30
264 MS_DRG Other Circulatory System O.r. Procedures 54 22 — — $31,975.32 $71,031.18 $51,503.25 2026-03-30
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 54 22 — — $28,838.54 $73,837.84 $51,338.19 2026-03-30
37 MS_DRG Extracranial Procedures With Mcc 54 22 — — $31,511.09 $69,999.92 $50,755.50 2026-03-30
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 54 22 — — $31,507.26 $69,991.42 $50,749.34 2026-03-30
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 54 22 — — $31,134.92 $69,164.29 $50,149.61 2026-03-30
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 54 22 — — $30,998.05 $68,860.23 $49,929.14 2026-03-30
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 54 22 — — $29,394.20 $70,238.07 $49,816.14 2026-03-30
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 54 22 — — $30,920.52 $68,688.00 $49,804.26 2026-03-30
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 54 22 — — $30,888.93 $68,617.83 $49,753.38 2026-03-30
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 54 22 — — $30,729.08 $68,262.74 $49,495.91 2026-03-30
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 54 22 — — $30,560.62 $67,888.51 $49,224.57 2026-03-30
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 54 22 — — $30,504.15 $67,763.05 $49,133.60 2026-03-30
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 54 22 — — $30,413.21 $67,561.06 $48,987.14 2026-03-30
500 MS_DRG Soft Tissue Procedures With Mcc 54 22 — — $30,292.61 $67,293.14 $48,792.88 2026-03-30
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 54 22 — — $30,246.67 $67,191.08 $48,718.88 2026-03-30
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 54 22 — — $30,160.52 $66,999.71 $48,580.11 2026-03-30
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 54 22 — — $30,146.16 $66,967.82 $48,556.99 2026-03-30
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 54 22 — — $30,075.33 $66,810.47 $48,442.90 2026-03-30
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 54 22 — — $30,963.59 $65,348.21 $48,155.90 2026-03-30
665 MS_DRG Prostatectomy With Mcc 54 22 — — $29,875.28 $66,366.08 $48,120.68 2026-03-30
69930 CPT Implant Cochlear Device 53 22 — — $32,041.04 $64,082.08 $48,061.56 2026-03-30
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 54 22 — — $29,813.07 $66,227.87 $48,020.47 2026-03-30
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 54 22 — — $29,760.42 $66,110.92 $47,935.67 2026-03-30
263 MS_DRG Vein Ligation And Stripping 54 22 — — $29,264.61 $65,009.50 $47,137.06 2026-03-30
472 MS_DRG Cervical Spinal Fusion With Cc 54 22 — — $27,164.40 $67,075.00 $47,119.70 2026-03-30
662 MS_DRG Minor Bladder Procedures With Mcc 54 22 — — $29,076.10 $65,096.67 $47,086.39 2026-03-30
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 54 22 — — $28,907.58 $64,216.39 $46,561.99 2026-03-30
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 54 22 — — $28,876.00 $64,146.22 $46,511.11 2026-03-30
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 54 22 — — $25,110.99 $67,697.14 $46,404.07 2026-03-30
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 54 22 — — $28,489.30 $63,287.19 $45,888.25 2026-03-30
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 54 22 — — $27,405.02 $64,224.89 $45,814.96 2026-03-30
571T CPT Insj/rplcmt Icds Ss Eltrd 54 22 — — $30,502.49 $61,004.98 $45,753.74 2026-03-30
915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 54 22 — — $30,502.49 $61,004.98 $45,753.74 2026-03-30
408T CPT Insj/rplc Cardiac Modulj Sys 54 22 — — $30,502.49 $61,004.98 $45,753.74 2026-03-30
33270 CPT Ins/rep Subq Defibrillator 53 22 — — $30,502.49 $61,004.98 $45,753.74 2026-03-30
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 53 22 — — $30,502.49 $61,004.98 $45,753.74 2026-03-30
33249 CPT Insj/rplcmt Defib W/lead(s) 53 22 — — $30,502.49 $61,004.98 $45,753.74 2026-03-30
33231 CPT Insrt Pulse Gen W/mult Leads 53 22 — — $30,502.49 $61,004.98 $45,753.74 2026-03-30
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 54 22 — — $26,303.11 $64,638.00 $45,470.56 2026-03-30
570 MS_DRG Skin Debridement With Mcc 54 22 — — $28,151.42 $62,536.61 $45,344.01 2026-03-30
668 MS_DRG Transurethral Procedures With Mcc 54 22 — — $27,949.45 $62,087.96 $45,018.71 2026-03-30
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 53 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 53 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
909T CPT Replacement Of Integrated Neurostimulation System, Vagus Nerve, Including Analys… 54 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
908T CPT Open Implantation Of Integrated Neurostimulation System, Vagus Nerve, Including … 54 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 53 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
674T CPT Laps Insj Nw/rpcmt Prm Isdss 54 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 53 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
61886 CPT Implant Neurostim Arrays 53 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
61885 CPT Insrt/redo Neurostim 1 Array 53 22 — — $29,986.33 $59,972.66 $44,979.50 2026-03-30
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 54 22 — — $27,875.75 $61,924.23 $44,899.99 2026-03-30
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 54 22 — — $27,777.16 $61,705.23 $44,741.19 2026-03-30
L5856 HCPCS Dme Pos 54 22 — — $29,719.96 $59,439.92 $44,579.94 2026-03-30
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 54 22 — — $27,583.81 $61,275.71 $44,429.76 2026-03-30
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 54 22 — — $27,181.74 $61,666.95 $44,424.35 2026-03-30
L6880 HCPCS Dme Pos 54 22 — — $29,579.67 $59,159.34 $44,369.50 2026-03-30
L6700 HCPCS Upper Extremity Addition, External Powered Feature, Myoelectronic Control Module… 54 22 — — $29,510.19 $59,020.38 $44,265.29 2026-03-30
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 54 22 — — $27,472.78 $61,029.06 $44,250.92 2026-03-30
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 54 22 — — $27,284.22 $60,610.18 $43,947.20 2026-03-30
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 54 22 — — $19,317.79 $68,483.87 $43,900.83 2026-03-30
654 MS_DRG Major Bladder Procedures With Cc 54 22 — — $26,794.14 $59,521.52 $43,157.83 2026-03-30
503 MS_DRG Foot Procedures With Mcc 54 22 — — $26,715.66 $59,347.16 $43,031.41 2026-03-30
974 MS_DRG HIV With Major Related Condition With Mcc 54 22 — — $27,624.01 $58,300.09 $42,962.05 2026-03-30
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 54 22 — — $26,531.88 $58,938.91 $42,735.39 2026-03-30
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 54 22 — — $22,585.51 $62,600.40 $42,592.96 2026-03-30
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 54 22 — — $26,042.76 $57,852.37 $41,947.57 2026-03-30
33289 CPT Tcat Impl Wrls P-art Prs Snr 53 22 — — $27,873.38 $55,746.76 $41,810.07 2026-03-30
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 54 22 — — $25,818.78 $57,354.82 $41,586.80 2026-03-30
800 MS_DRG Splenic Procedures With Cc 54 22 — — $23,061.65 $59,736.27 $41,398.96 2026-03-30
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 54 22 — — $26,390.22 $55,696.18 $41,043.20 2026-03-30
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 54 22 — — $25,371.78 $56,361.83 $40,866.81 2026-03-30
963 MS_DRG Other Multiple Significant Trauma With Mcc 54 22 — — $26,167.20 $55,225.49 $40,696.35 2026-03-30
288 MS_DRG Acute And Subacute Endocarditis With Mcc 54 22 — — $25,903.02 $54,667.95 $40,285.49 2026-03-30
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 54 22 — — $24,783.71 $55,526.49 $40,155.10 2026-03-30
253 MS_DRG Other Vascular Procedures With Cc 54 22 — — $24,844.38 $55,190.24 $40,017.31 2026-03-30
793 MS_DRG Full Term Neonate With Major Problems 15 12 — — $12,211.39 $79,820.58 $39,910.29 2026-03-30
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 54 22 — — $24,576.37 $54,594.88 $39,585.62 2026-03-30
21243 CPT Reconstruction Of Jaw Joint 53 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
960T CPT Replacement Of Sub-scalp Implanted Electrode Array, Receiver, And Telemetry Unit… 54 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
956T CPT Partial Craniectomy, Channel Creation, And Tunneling Of Electrode For Sub-scalp … 54 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 53 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 53 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
22630 CPT Arthrd Pst Tq 1ntrspc Lum 53 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
20696 CPT App Mltpln Uni Xtrnl Fix 1st 53 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
27702 CPT Reconstruct Ankle Joint 53 22 — — $26,367.80 $52,735.60 $39,551.70 2026-03-30
C9760 HCPCS Non-blind Interatrial Shunt 54 22 — — $26,157.38 $52,314.76 $39,236.07 2026-03-30
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 54 22 — — $24,320.81 $54,027.16 $39,173.99 2026-03-30
164 MS_DRG Major Chest Procedures With Cc 54 22 — — $24,159.05 $53,667.81 $38,913.43 2026-03-30
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 54 22 — — $24,148.52 $53,644.42 $38,896.47 2026-03-30
791 MS_DRG Prematurity With Major Problems 15 12 — — $26,319.18 $77,703.30 $38,851.65 2026-03-30
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 54 22 — — $20,760.48 $56,079.04 $38,419.76 2026-03-30
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 54 22 — — $23,851.79 $52,985.27 $38,418.53 2026-03-30
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 54 22 — — $24,687.41 $52,102.42 $38,394.92 2026-03-30
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 54 22 — — $24,687.41 $52,102.42 $38,394.92 2026-03-30
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 54 22 — — $22,020.67 $54,284.44 $38,152.56 2026-03-30
93653 CPT Compre Ep Eval Tx Svt 54 22 — — $25,399.77 $50,799.54 $38,099.65 2026-03-30
93654 CPT Compre Ep Eval Tx Vt 54 22 — — $25,399.77 $50,799.54 $38,099.65 2026-03-30
93656 CPT Compre Ep Eval Abltj Atr Fib 54 22 — — $25,399.77 $50,799.54 $38,099.65 2026-03-30
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 54 22 — — $21,598.57 $54,475.00 $38,036.79 2026-03-30
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 54 22 — — $23,538.80 $52,289.97 $37,914.39 2026-03-30
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 54 22 — — $23,532.10 $52,275.09 $37,903.60 2026-03-30
849 MS_DRG Radiotherapy 54 22 — — $20,490.30 $54,734.61 $37,612.46 2026-03-30
J9266 HCPCS Pegaspargase Injection 54 22 — — $9,903.59 $65,250.20 $37,576.89 2026-03-30
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 54 22 — — $22,908.72 $51,971.02 $37,439.87 2026-03-30
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 54 22 — — $23,022.88 $51,143.89 $37,083.39 2026-03-30
330 MS_DRG Major Small And Large Bowel Procedures With Cc 54 22 — — $22,945.35 $50,971.66 $36,958.50 2026-03-30
397 MS_DRG Appendix Procedures With Mcc 54 22 — — $22,923.34 $50,922.76 $36,923.05 2026-03-30
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 54 22 — — $23,182.98 $50,105.73 $36,644.36 2026-03-30
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 54 22 — — $17,970.94 $54,918.08 $36,444.51 2026-03-30
113 MS_DRG Orbital Procedures With Cc/mcc 54 22 — — $22,504.09 $49,991.44 $36,247.76 2026-03-30
333 MS_DRG Rectal Resection With Cc 54 22 — — $22,418.91 $49,802.20 $36,110.56 2026-03-30
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 54 22 — — $21,432.38 $50,742.02 $36,087.20 2026-03-30
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 54 22 — — $22,384.45 $49,725.65 $36,055.05 2026-03-30
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 54 22 — — $22,368.18 $49,689.50 $36,028.84 2026-03-30
545 MS_DRG Connective Tissue Disorders With Mcc 54 22 — — $21,864.68 $50,132.82 $35,998.75 2026-03-30
35 MS_DRG Carotid Artery Stent Procedures With Cc 54 22 — — $21,113.26 $50,829.20 $35,971.23 2026-03-30
709 MS_DRG Penis Procedures With Cc/mcc 54 22 — — $22,274.37 $49,481.13 $35,877.75 2026-03-30
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 54 22 — — $19,294.34 $52,371.09 $35,832.71 2026-03-30
357 MS_DRG Other Digestive System O.r. Procedures With Cc 54 22 — — $22,033.93 $49,447.11 $35,740.52 2026-03-30
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 54 22 — — $22,122.18 $49,143.05 $35,632.61 2026-03-30
347 MS_DRG Anal And Stomal Procedures With Mcc 54 22 — — $21,972.86 $48,811.34 $35,392.10 2026-03-30
L8614 HCPCS Dme Pos 54 22 — — $23,437.87 $46,875.74 $35,156.81 2026-03-30
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 54 22 — — $21,782.39 $48,388.21 $35,085.30 2026-03-30
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 54 22 — — $21,685.71 $48,173.45 $34,929.58 2026-03-30
Q0483 HCPCS Dme Pos 54 22 — — $23,212.40 $46,424.80 $34,818.60 2026-03-30
56 MS_DRG Degenerative Nervous System Disorders With Mcc 54 22 — — $22,236.09 $46,928.94 $34,582.51 2026-03-30
See an error in this hospital's data? Submit a correction